ORIGINS FAMILY MEDICAL & WEIGHT LOSS CLINIC INC
NPI 1962835306
General Practice in Lake City, FL
About Origins Family Medical & Weight Loss Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORIGINS FAMILY MEDICAL & WEIGHT LOSS CLINIC INC (NPI 1962835306) is a healthcare organization registered as a general practice in Lake City, Florida and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Duane E. Thomas, President/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Origins Family Medical & Weight Loss Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Origins Family Medical & Weight Loss Clinic Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Lake City, FL 32025
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2063884
Origins Family Medical And Weight Loss · Lake City, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Origins Family Medical & Weight Loss Clinic Inc's NPI number?
The NPI number for Origins Family Medical & Weight Loss Clinic Inc is 1962835306. It was assigned to this organization in the NPPES registry on August 20, 2013.
Where is Origins Family Medical & Weight Loss Clinic Inc located?
Origins Family Medical & Weight Loss Clinic Inc is located at 206 S Marion Ave, Lake City, FL 32025. The listed phone number is (386) 755-5014.
What is Origins Family Medical & Weight Loss Clinic Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Origins Family Medical & Weight Loss Clinic Inc enrolled in Medicare?
Yes. Origins Family Medical & Weight Loss Clinic Inc is registered in the Medicare PECOS enrollment system.
When is Origins Family Medical & Weight Loss Clinic Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Origins Family Medical & Weight Loss Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Origins Family Medical & Weight Loss Clinic Inc, in Family Practice, General Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Origins Family Medical & Weight Loss Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2063884) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Origins Family Medical & Weight Loss Clinic Inc accept?
Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Origins Family Medical & Weight Loss Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Origins Family Medical & Weight Loss Clinic Inc was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Origins Family Medical & Weight Loss Clinic Inc · NPI 1962835306
General Practice organization in Lake City, Florida. Organization record, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1962835306 (Entity type: Organization)
- **Enumerated:** August 20, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Duane Thomas, PRESIDENT/DIRECTOR
## Practice location
- **Address:** 206 S MARION AVE, Lake City, FL 32025-7058
- **Phone:** (386) 755-5014 · **Fax:** (386) 755-3093
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962835306) · Data from the CMS NPPES public registry.